Impact of alcohol consumption on clinical aspects of gambling disorder

Similarities between gambling disorder and substance use disorders have been extensively described. To date, however, few studies using large clinical samples have been carried out that reliably assess the relationship between different levels of alcohol consumption and gambling disorders. The present study aimed to assess the impact of baseline alcohol consumption levels on the clinical profile in a large sample of treatment-seeking individuals. Nine hundred and fifty-one consecutive outpatients diagnosed with gambling disorder according to DSM-IV criteria were compared after being included in three alcohol consumption groups (low risk, abuse and risk of dependence) based on their total raw scores on the AUDIT questionnaire. Results showed a high prevalence of risk of alcohol dependence in GD patients who were immigrants, unemployed, and had a low level of education. A positive linear trend was also found between alcohol consumption level and the prevalence of other current and life-time comorbid mental disorders, and for the presence of drug abuse. Statistically significant differences were found between the three alcohol consumption groups in terms of the evolution and severity of the gambling disorder, self-directedness personality trait, and levels of general psychopathology, hostility and paranoid ideation. In conclusion, the results showed an association between increased alcohol consumption and greater dysfunction.

Advertisements

Evaluation and Clinical Audit of Problem Gambling Intervention and Public Health Services | Ministry of Health NZ

Background

The Ministry of Health’s (MoH) implementation of an integrated problem gambling public health strategy includes psychosocial intervention services and primary prevention public health services contracted to providers located throughout New Zealand.

Aim

To evaluate the effectiveness of the Brief, Full, Workshop-based, Facilitation and Follow-up intervention services and the Policy Development and Implementation, Safe Gambling Environments, Supportive Communities, Aware Communities, and Effective Screening Environments public health services.

Method

The evaluation employed a mixed-methods approach guided by a logical framework and evaluation criteria agreed with MoH. Content and thematic analysis of over 100 progress reports from 2010 to 2013 for all providers was used to identify outputs, outcomes, best practice and challenges for public health services. An analysis of the Client Information Collection (CLIC) database from 2010 to 2013 determined key trends in intervention services. Views about service effectiveness were obtained through surveys of staff (n=64), clients (n=148) and allied agencies (n=42) of eight providers.

Additional perspectives and clarifications were obtained from three focus group interviews with staff and managers of the eight providers. KPMG was subcontracted to conduct a clinical audit of the intervention services delivered by the eight providers, based on providers’ contracts with MoH, and other guidelines. This included review of documentation, and staff and client interviews. A triangulation process was used to compare and contrast findings from the various evaluation data sources and clinical audit observations. Several factors limited the generalisability of findings…

Source: Komathi Kolandai-Matchett, Jason Landon, Maria Bellringer, Nick Garrett, Stuart Mundy-McPherson, Max Abbott, … Souella Cumming. (2016). Evaluation and Clinical Audit of Problem Gambling Intervention and Public Health Services. New Zealand: Ministry of Health.

Gender, gambling settings and gambling behaviours among undergraduate poker players

A gender divide in gambling is commonly observed among college populations. This study examines whether settings where students gamble on poker mediate the relationship between gender and poker gambling behaviours. Undergraduate poker players, 126 females and 242 males, were randomly sampled from three universities in Montreal, Canada. Three outcomes measuring risky behaviours were considered: severity of gambling problems as measured by the Problem Gambling Severity Index (PGSI), past-year poker spending and past-year poker debt. Multiple mediation analyses were conducted. The effect of gender on outcomes was analysed through three putative mediators: gambling on poker in private residences, in public locations or on the Internet…

Source: Kairouz, S., Paradis, C., & Monson, E. (2016). Gender, gambling settings and gambling behaviours among undergraduate poker players. International Gambling Studies, 0(0), 1–13. http://doi.org/10.1080/14459795.2016.1147590