The relationship between age of gambling onset and adolescent problematic gambling severity

Rahman, Ardeshir S.; Pilver, Corey E.; Desai, Rani A.; Steinberg, Marvin A.; Rugle, Loreen; Krishnan‐Sarin, Suchitra; Potenza, Marc N.

doi:10.1016/j.jpsychires.2012.02.007

Cited by 103 publications

(101 citation statements)

References 47 publications

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“…The former (later exposure to gambling) somewhat support the theory of how addiction can affect the development of the pre-frontal cortex (which makes early exposure detrimental) and how treatment can have a better impact for patients with a less impaired pre-frontal cortex. These findings are in line with a study by Rahman et al 11 indicating that earlier age of onset in gambling was associated with higher frequency of at-risk/problem gambling as opposed to later onset. The latter (strategic gamblers demonstrating better outcomes) seems to be linked to the type of psychological intervention (mainly CBT) which was administered to gamblers in treatment.…”

Section: Predictors Of Treatment Outcomesupporting

confidence: 93%

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2017

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This paper does a separate and independent review of the various studies put forth by National Addictions Management Service (NAMS) in relation to pathological gambling from 2009 to 2013. The findings are analyzed in totality and split into 2 sections, looking at the evolving demographics of help-seeking gamblers (looking at a clinical population as opposed to general public targeted by the NCPG survey) over the years and the predictors of treatment outcomes. It was found that, over the years, (i) more gamblers are driven to gamble as a way to cope with their psychiatric co-morbidities and (ii) psychologist distress is also a common outcome due to the consequences of gambling. It was also found that there is a need to further examine the standard psychosocial treatment guidelines (mainly based on a cognitive behavioural approach) for the gamblers to better meet the idiosyncratic needs of the non-strategic gambler.

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Section: Predictors Of Treatment Outcomesupporting

confidence: 93%

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2017

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“…Both illegal participation and an early onset of gambling participation are associated with problem gambling (Gupta & Derevensky, 1997;Productivity Commission, 2010;Rahman et al, 2012;South Australian Department for Families and Communities, 2007;J.W. Welte et al, 2009;Wynne et al, 1996).…”

Section: Legal Agementioning

confidence: 99%

Recommendations for International Gambling Harm-Minimisation Guidelines: Comparison with Effective Public Health Policy

et al. 2013

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Problem gambling represents a significant public health problem, however, research on effective gambling harm-minimisation measures lags behind other fields, including other addictive disorders. In recognition of the need for consistency between international jurisdictions and the importance of basing policy on empirical evidence, international conventions exist for policy on alcohol, tobacco, and illegal substances. This paper examines the evidence of best practice policies to provide recommendations for international guidelines for harm-minimisation policy for gambling, including specific consideration of the specific requirements for policies on Internet gambling. Evidence indicates that many of the public health policies implemented for addictive substances can be adapted to address gambling-related harms. Specifically, a minimum legal age of at least 18 for gambling participation, licensing of gambling venues and activities with responsible gambling and consumer protection strategies mandated, and brief interventions should be available for those at-risk for and experiencing gambling-related problems. However, there is mixed evidence on the effectiveness of limits on opening hours and gambling venue density and increased taxation to minimise harms. Given increases in trade globalisation and Gainsbury -Recommendations for international gambling harm-minimisation guidelines 2 particularly the global nature of Internet gambling, it is recommended that jurisdictions take actions to harmonise gambling public health policies.

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“…Of note, high aggressive problems revealed females to be 5 times more likely and males 3.6 times more likely to be frequent gamblers. Since previous research suggests that both frequent gambling and high aggressive behaviors are typically more prevalent in males [9,16,20], it is plausible that females who gamble are doing so in environments which facilitate and exacerbate aggressive behaviors as the norm [24]. Considering the prior, it is possible that females with high aggressive problems may be at a higher risk of engaging in frequent gambling activities.…”

Section: Discussionmentioning

confidence: 99%

“…These odds ratio were higher than those for 13-15 year olds (4.3 times; 2.7 times) and 16-19 year olds (2.6 times; 2.3 times), suggesting that severe aggressive problems are the strongest predictor of risk for PG in younger adolescents. Perhaps then, younger individuals who are engaging in impulsive externalizing behaviors such as excessive anger, fighting and substance-use, are more vulnerable to social pressure than older adolescents [24]. Further, environments where adolescents engage in gambling may also predispose them to other risky behaviours such as substance and alcohol use [26].…”

Section: Discussionmentioning

confidence: 99%