Betting on the Future: A Systematic Review of Modern Gambling Interventions for College Students.

IF 2.2 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
Sidath Kapukotuwa, Ana González-Alvarez, Shane W Kraus, Manoj Sharma
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引用次数: 0

Abstract

Gambling among college students is a growing public health concern, with approximately 10.2% experiencing problem gambling and 6.1% meeting criteria for gambling disorder. These rates are significantly higher than those in the general adult population. The transitional nature of college life, combined with increased independence, peer influence, and the widespread availability of online gambling platforms, places students at heightened risk. The purpose of this study was to conduct a systematic review of randomized controlled trials (RCTs) aimed at reducing gambling behaviors among college students. This systematic review evaluated RCTs published over the past 25 years targeting gambling behaviors among college students. Following PRISMA guidelines, a comprehensive search was conducted across four databases to assess the effectiveness of psychotherapeutic, psychoeducational, and personalized feedback interventions. A total of 14 studies met the inclusion criteria. Interventions based on cognitive-behavioral therapy (CBT) and motivational interviewing (MI) consistently reduced gambling frequency and harm. Personalized normative feedback (PNF) interventions significantly lowered perceived gambling norms and self-reported behaviors. Technology-driven strategies, including smartphone-based interventions and pop-up messages prompting time limits, improved accessibility and reduced gambling duration. Group-based CBT interventions demonstrated particular effectiveness through peer accountability and skill-building. However, gaps remain in addressing online gambling behaviors, cultural adaptability, and co-occurring mental health conditions. Evidence supports the efficacy of CBT, MI, and PNF-based interventions in reducing gambling among college students. Digital and group-based approaches show promise for scalability. Future public health interventions should address the unique risks of online gambling and integrate mental health support. OSF Registration DOI: https://doi.org/10.17605/OSF.IO/D97QX .

赌未来:对大学生现代赌博干预的系统回顾。
在大学生中,赌博是一个日益严重的公共健康问题,大约10.2%的人有赌博问题,6.1%的人符合赌博障碍的标准。这些比率明显高于一般成年人的比率。大学生活的过渡性质,再加上独立性的增强、同伴的影响以及在线赌博平台的广泛存在,使学生面临更高的风险。本研究的目的是对旨在减少大学生赌博行为的随机对照试验(RCTs)进行系统回顾。本系统综述评估了过去25年来发表的针对大学生赌博行为的随机对照试验。遵循PRISMA指南,在四个数据库中进行了全面的搜索,以评估心理治疗、心理教育和个性化反馈干预的有效性。共有14项研究符合纳入标准。基于认知行为疗法(CBT)和动机性访谈(MI)的干预持续降低赌博频率和伤害。个性化规范反馈(PNF)干预显著降低感知赌博规范和自我报告行为。技术驱动的策略,包括基于智能手机的干预和提示时间限制的弹出式消息,提高了可访问性,缩短了赌博时间。基于群体的CBT干预通过同伴问责和技能培养显示出特别的有效性。然而,在解决在线赌博行为、文化适应性和共同发生的精神健康状况方面,差距仍然存在。证据支持CBT、MI和基于pnf的干预在减少大学生赌博方面的有效性。数字和基于组的方法显示了可扩展性的前景。未来的公共卫生干预措施应解决在线赌博的独特风险,并整合心理健康支持。OSF注册DOI: https://doi.org/10.17605/OSF.IO/D97QX。
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
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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