Risk factors for the development of problem gambling in individuals with ADHD symptoms: The mediating roles of gambling engagement and ADHD characteristics

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-03-14 DOI:10.1016/j.addbeh.2025.108327

Keita Tokumitsu , Norio Sugawara , Takahiro Tabuchi , Norio Yasui-Furukori

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Abstract

Gambling disorder is a behavioral addiction characterized by impulsivity and problem gambling, and it often cooccurs with ADHD. This study investigated the associations between ADHD symptoms and problem gambling, focusing on the roles of various forms of gambling engagement. Based on data from the JASTIS 2024 survey, which included 29,268 valid respondents, this cross-sectional study explored how ADHD symptoms are related to the prevalence of problem gambling and specific forms of gambling engagement. Problem gambling was assessed using the Problem Gambling Severity Index, and ADHD symptoms were measured with the Japanese version of the Adult ADHD Self-Report Scale. The results revealed that 22.2 % of the participants with ADHD symptoms exhibited problem gambling, this proportion was significantly higher than that reported in the general population. Causal mediation analysis revealed that all types of gambling engagement, except for lottery, mediated the relationship between ADHD symptoms and problem gambling. Among them, bicycle racing and online casinos exhibited the strongest effects. Multiple regression analysis revealed that online casino use was the strongest predictor of problem gambling both in the general population and among individuals with ADHD symptoms. These findings suggest that individuals with ADHD characteristics increase the risk of engaging in gambling activities, particularly casino and online gambling, which have a high potential for addiction. Given the association between problem gambling and casino-related experiences, this study underscores the need for stringent regulatory measures and targeted prevention strategies, particularly as Japan considers expanding casino operations.

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ADHD个体问题赌博发展的危险因素：赌博参与和ADHD特征的中介作用

赌博障碍是一种以冲动和问题赌博为特征的行为成瘾，通常与多动症同时发生。本研究调查了ADHD症状与问题赌博之间的关系，重点关注各种形式的赌博参与的作用。基于JASTIS 2024调查的数据，其中包括29,268名有效受访者，这项横断面研究探讨了ADHD症状与问题赌博的流行程度和特定形式的赌博参与之间的关系。问题赌博使用问题赌博严重程度指数进行评估，ADHD症状使用日文版成人ADHD自我报告量表进行测量。结果显示，22.2%有ADHD症状的参与者表现出问题赌博，这一比例显著高于一般人群的报告。因果中介分析显示，除彩票外，所有类型的赌博参与都介导了ADHD症状与问题赌博的关系。其中，自行车比赛和网上赌场表现出最强的影响。多元回归分析显示，在普通人群和有多动症症状的个体中，在线赌场使用是问题赌博的最强预测因子。这些发现表明，有多动症特征的人参与赌博活动的风险增加，特别是赌场和在线赌博，这有很高的成瘾可能性。鉴于问题赌博和赌场相关经历之间的联系，这项研究强调了严格的监管措施和有针对性的预防策略的必要性，特别是在日本考虑扩大赌场业务的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.