Stability of problematic gaming and associations with problematic gambling: A three-year follow-up study of adolescents in the SALVe-cohort

S. Vadlin, C. Åslund, K.W. Nilsson.

Aim: The aims of the present study was to investigate the long-term stability of problematic gaming among adolescents, and whether problematic gaming at wave 1 (W1) were associated with problematic gambling at wave 2 (W2), three years later.
Methods: Data from the SALVe-Cohort, including adolescents in Västmanland born in 1997 and 1999, at two waves were analyzed (W1, n = 1868; 1035 girls, W2, n = 1576; 914 girls). Adolescents self-rated the Gaming Addiction Identification Test (GAIT), Problematic Gambling Severity Index (PGSI), and gambling frequencies. Stability of gaming using Gamma correlation, and Spearman’s rho was performed. General linear model analysis (GLM), and logistic regression analysis were performed, adjusted for sex, age, and ethnicity using PGSI as dependent variable, and GAIT as independent variable, for investigating associations between problematic gaming and problematic gambling.
Results: Problematic gaming was stable over time, γ = 0.810, P ≤ 0.001, and ρ = 0.555, P ≤ 0.001. Furthermore, problematic gaming at wave 1 increased the probability of having problematic gambling three years later, GLM F = 3.357, η2 = 0.255, P ≤ 0.001, and logistic regression OR = 5.078 (95% CI: 1.388–18.575), P = 0.014. Male sex was associated with higher probability of problematic gambling.
Conclusions: The present study highlights the importance of screening for problematic gambling among problematic gamers in order not to overlook possible coexisting gambling problems. The stability of problematic gaming indicates a need for development and evaluation of treatment for problematic gaming and also for coexisting gambling problems.

Vadlin, S., Åslund, C., & Nilsson, K. W. (2017). Stability of problematic gaming and associations with problematic gambling: A three-year follow-up study of adolescents in the SALVe-cohort. European Psychiatry, 41, S882. https://doi.org/10.1016/j.eurpsy.2017.01.1782

Recovery, relapse, or else? Treatment outcomes in gambling disorder from a multicenter follow-up study

K.W. Müller, K. Wölfling, U. Dickenhorst, M.E. Beutel, J. Medenwaldt, A. Koch.

Purpose: Gambling disorder is associated with various adverse effects. While data on the immediate effectiveness of treatment programs are available, follow-up studies examining long-term effects are scarce and factors contributing to a stable therapy outcome versus relapse are under-researched.

Materials and methods: Patients (n = 270) finishing inpatient treatment for gambling disorder regularly participated in a prospective multicenter follow-up study (pre-treatment, post-treatment, 12-month follow-up). Criteria for gambling disorder, psychopathology, functional impairment were defined as endpoints. Changes in personality were defined as an additional parameter.

Results: At follow-up, three groups were identified: subjects maintaining full abstinence (41.6%), patients still meeting criteria for gambling disorder (29.2%), and subjects still participating in gambling without meeting the diagnostic criteria for gambling disorder (29.2%). Every group had improvements in functional impairment, abstinent subjects showed the lowest psychopathology. Significant decreases in neuroticism and increases in both extraversion and conscientiousness were found among abstinent subjects but not in patients still meeting criteria for gambling disorder.

Discussion: One year after treatment, a considerable percentage of patients kept on gambling but not all of them were classified with gambling disorder leading to the question if abstinence is a necessary goal for every patient.

Conclusions: The changes of personality in abstinent patients indicate that after surmounting gambling disorder a subsequent maturing of personality might be a protective factor against relapse.

Müller, K. W., Wölfling, K., Dickenhorst, U., Beutel, M. E., Medenwaldt, J., & Koch, A. (n.d.). Recovery, relapse, or else? Treatment outcomes in gambling disorder from a multicenter follow-up study. European Psychiatry. https://doi.org/10.1016/j.eurpsy.2017.01.326

Internet Based Retraining as a Treatment for Gambling Disorders – European Psychiatry

M. Boffo, W. Ronny, T. Pronk, R.W. Wiers, G. Dom

Cognitive Bias Modification (CBM) has opened up new ways to treat addiction by retraining relatively automatic, maladaptive processes implied in the onset and maintenance of addiction disorders (Wiers et al., 2013). Many CBM interventions can, in principle, be administered online, thus showing potential of being a cheap addition to conventional treatments. The recent re-framing of pathological gambling (PG) as a behavioural addiction and its inclusion in the substance and addictive disorders diagnostic section of the new DSM-5 questions whether PG could also be explained by recent dual-process models of addiction and, consequently, whether CBM interventions can be potentially effective in the treatment of PG…

via Internet Based Retraining as a Treatment for Gambling Disorders – European Psychiatry.

Online Gambling, Impulsivity and Personality Traits: an Italian Sample – European Psychiatry

M. Pascucci, S. Chiappini, C. Villella, E. Righino, M. Pettorruso, C. Ciciarelli, A. Di Cesare, R. Testa, M. Di Paolo, L. Janiri, G. Conte

Internet Gambling has become one of the most popular and lucrative internet business. The recent improvements in technology have changed betting habits with online poker, casinos, sport betting, bingo and lotteries. Liberalization of the Italian online gambling market gradually started in 2006, but only in 2010 foreign gambling operators have been able to launch online real money games.

Our aim is to study the impulsivity and personality traits of an Italian sample of Pathological Gamblers (PG), showing the peculiarities of Online Gambling (OG).

via Online Gambling, Impulsivity and Personality Traits: an Italian Sample – European Psychiatry.