Can Positive Play Deficits Explain the Associations Between Posttraumatic Stress Symptoms, Gambling Motives, and Problem Gambling? Results of a National U.S. Sample.

IF 2.4 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Journal of Gambling Studies Pub Date : 2024-12-01 Epub Date: 2024-07-30 DOI:10.1007/s10899-024-10348-w
Anthony King, Shane W Kraus, Gloria Wong-Padoongpatt, Joshua B Grubbs
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Abstract

Past research has demonstrated a consistent connection between symptoms of posttraumatic stress disorder (PTSD) and problematic gambling in both general and clinical United States (U.S.) populations. Little is known, however, about the mediating role that responsible gambling practices related to positive play might have in the relationships between symptoms of PTSD, problem gambling (PG) severity, and different motives for gambling. Therefore, using mediation analysis, this study investigated these associations within a census-matched national sample of U.S. adults (N = 2,806). Results indicated PTSD symptoms and PG often co-occur in this population (r = .43, p < .01), and coping motives for gambling were the key mechanism connecting PTSD symptoms to PG severity rather than deficits in positive play practices or other gambling motives. Moreover, it was found that the average gambler who had sought treatment for gambling in the past not only had more severe PTSD symptoms and PG but also had the strongest gambling motives, the largest deficits in positive play, and was more likely to be younger than 50 years old. In this sample, approximately 1 in 10 people who gambled in the past year were classified as problem gamblers, 1 in 5 met criteria for a provisional PTSD diagnosis, and 1 in 33 sought out gambling treatment previously. These findings provide further evidence for the relationship between symptoms of posttraumatic stress and problematic gambling behaviors in the U.S. population and offer critical insights into the explanatory roles of coping motives and positive play practices in this connection.

Abstract Image

积极游戏缺陷能否解释创伤后应激症状、赌博动机和问题赌博之间的关联?美国全国抽样调查结果。
过去的研究表明,在美国普通人群和临床人群中,创伤后应激障碍(PTSD)症状与问题赌博之间存在着一致的联系。然而,对于与积极游戏相关的负责任的赌博行为在创伤后应激障碍症状、问题赌博(PG)严重程度和不同赌博动机之间的关系中可能起到的中介作用,人们知之甚少。因此,本研究采用中介分析法,在一个与人口普查相匹配的美国成年人全国样本(N = 2,806)中调查了这些关联。结果表明,在这一人群中,创伤后应激障碍症状和 PG 常常同时存在(r = .43,p
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来源期刊
CiteScore
5.00
自引率
16.70%
发文量
72
期刊介绍: Journal of Gambling Studies is an interdisciplinary forum for the dissemination on the many aspects of gambling behavior, both controlled and pathological, as well as variety of problems attendant to, or resultant from, gambling behavior including alcoholism, suicide, crime, and a number of other mental health problems. Articles published in this journal are representative of a cross-section of disciplines including psychiatry, psychology, sociology, political science, criminology, and social work.
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