Anna Karlsson, Marianne Balem, Helena Hansson, Anders Håkansson
{"title":"Suicide and Mortality in Individuals with Gambling Disorder and Matched Case controls - A Swedish Nationwide Register Study.","authors":"Anna Karlsson, Marianne Balem, Helena Hansson, Anders Håkansson","doi":"10.1007/s10899-025-10415-w","DOIUrl":"https://doi.org/10.1007/s10899-025-10415-w","url":null,"abstract":"<p><p>This study aimed to investigate suicide and general mortality in individuals with gambling disorder and to evaluate the effect of gambling disorder on mortality and death from suicide. This is a Swedish nationwide case-control, register based study with a ratio of 1:2. Controls were matched on gender, age and municipality. Cases were defined as all adults with a diagnosis of gambling disorder in Swedish in-patient and/or specialized out-patient health care 2005-2019. The total population included 10,782 individuals. Multifactor Cox regression stratified for sex was used to analyze risk factors for suicide mortality and general mortality. Suicide mortality was higher amongst cases, with 41 (1.2%) individuals passing away due to suicide vs. 22 (0.3%) of the controls (p < 0.001). In the regression model, gambling disorder was not significantly associated with suicide mortality, which was associated with substance use disorder and low education in men and for women the model could not draw conclusions on predicting factors. Mortality was also elevated in cases; 94 of the deceased were controls (1.3%) and 132 were cases (3.8%, p < 0.001). In the regression model gambling disorder was not significantly associated with mortality, this was predicted by socioeconomic status, increasing age, low education level, somatic comorbidity, substance use disorder and previous intentional self-harm in men and for women by increasing age and somatic comorbidity. In conclusion, gambling disorder is associated with increased mortality and suicide death. Comorbid disorders and socioeconomic status appear to be important reasons for the increased mortality.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring the Intersection of Tobacco, Alcohol, and Gambling for Türkiye.","authors":"Kübranur Çebi Karaaslan, Esma Kesriklioğlu","doi":"10.1007/s10899-025-10418-7","DOIUrl":"https://doi.org/10.1007/s10899-025-10418-7","url":null,"abstract":"<p><p>In literature, there is a lack of multidimensional analyses that examine the co-occurrence of multiple addiction-related behaviors within households. This study aims to fill that gap by identifying the demographic and socioeconomic factors associated with Turkish households in which tobacco use, alcohol consumption, and gambling occur simultaneously, thereby contributing both to academic understanding and to informed policymaking. The study utilizes micro data from the Household Budget Survey conducted by the Turkish Statistical Institute between 2015 and 2019. The probabilities of households engaging in tobacco use, alcohol consumption and gambling behaviors are estimated simultaneously with the Multivariate Probit Model, which also considers correlations among unobservable factors. It has been determined that demographic and socioeconomic factors have separate significant effects on harmful habits. By focusing on the social and cultural dynamics in Türkiye, this study provides insights into harmful habits in households, contains guiding results especially for developing local policies. It has been identified that in Türkiye, deterrent policies for tobacco use should prioritize targeting young, low-educated, high-income males; for alcohol consumption, the focus should be on middle-aged, highly educated, high-income, single males; and for gambling, priority should be given to unemployed, middle-aged, highly educated, high-income, single males.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abnormal Exploratory Tendencies in Risk Decision-Making in Gambling Disorder: Evidence from the Balloon Analogue Risk Task.","authors":"Gangliang Zhong, Jingyang Liu, Yicheng Wei, Hanyu Wei, Xiyuan Zhang, Peiqiong Yang, Xin Xu, Yilan Sun, Jiang Du","doi":"10.1007/s10899-025-10416-9","DOIUrl":"https://doi.org/10.1007/s10899-025-10416-9","url":null,"abstract":"<p><p>A cognitive tendency toward high risk-taking is linked to gambling disorder (GD), but the specific behavioral manifestations of risky decision-making in GD are unclear. This study addresses this by analyzing differences in behavior between individuals with GD and healthy controls using the Balloon Analogue Risk Task (BART). Data from 169 adults were analyzed, including 116 with GD (57 severe, 59 mild-to-moderate) and 53 healthy controls. Four metrics were used: (1) total earnings to quantify risk decision-making ability, (2) number of exploded balloons to quantify risk propensity, (3) adjusted average pumps to quantify risk-taking level, and (4) unexploded pumps' standard deviation (SD) to quantify exploratory tendency. Statistical comparisons and correlations among these metrics were examined. Significant differences were found between the GD and control groups in total earnings and the unexploded pumps' SD, with a positive correlation between these measures in the GD group. The unexploded pumps' SD fully mediated the relationship between group membership (GD vs. HC) and total earnings. These patterns were consistent across severe GD groups. While severe GD participants had similar total earnings to the mild-to-moderate group, they exhibited a higher unexploded pumps' SD and showed a significant correlation between total earnings and the unexploded pumps' SD. Individuals with GD demonstrate poorer risk decision-making abilities and higher exploratory tendencies compared to healthy controls. The higher exploratory tendency is a key factor in their disadvantageous decision-making. Severe GD is characterized by a greater exploratory tendency than mild-to-moderate GD. These findings underscore the importance of evaluating exploratory tendencies in risky decision-making and suggest that future GD treatments should target the cognitive neural mechanisms underlying this tendency for more effective diagnostics and therapy.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ke Yu, Jing Zhai, Marcantonio M Spada, Juliet Honglei Chen, Anise M S Wu
{"title":"The Mediating Role of Attentional Inflexibility in the Association between Metacognitions and Severity of Gambling Disorder Symptoms.","authors":"Ke Yu, Jing Zhai, Marcantonio M Spada, Juliet Honglei Chen, Anise M S Wu","doi":"10.1007/s10899-025-10411-0","DOIUrl":"https://doi.org/10.1007/s10899-025-10411-0","url":null,"abstract":"<p><p>Gambling Disorder and its adverse outcomes are prevalent in Chinese gamblers, and modifiable cognitive factors should be identified to improve interventions. Drawing on the Self-Regulatory Executive Function (S-REF) model, the present study examined the associations between positive and negative metacognitions about gambling, attentional inflexibility, and severity of Gambling Disorder symptoms in 1,024 Chinese gamblers. Results revealed that, consistent with hypotheses, both positive and negative metacognitions about gambling were positively correlated with severity of Gambling Disorder symptoms. Furthermore, attentional inflexibility significantly mediated the association between both positive and negative metacognitions about gambling and severity of Gambling Disorder symptoms. These findings not only provide additional evidence on the application of S-REF model to understanding Gambling Disorder but also highlight the potential benefits of Metacognitive Therapy in both restructuring metacognitions about gambling and modifying attentional inflexibility in mitigating gambling problems.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impulsivity, Critical Thinking and Near-Miss Role for Persistence in Play on a Slot Machine.","authors":"Maksymilian Przerwa, Emilia Zabielska-Mendyk","doi":"10.1007/s10899-025-10412-z","DOIUrl":"https://doi.org/10.1007/s10899-025-10412-z","url":null,"abstract":"","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Macía, Irati Saratxaga, Alexander Álvarez-González, Ioseba Iraurgui, Ana Estévez
{"title":"Gambling Disorder and Romantic Relationships: The role of positive communication and emotional dysregulation in couple satisfaction.","authors":"Laura Macía, Irati Saratxaga, Alexander Álvarez-González, Ioseba Iraurgui, Ana Estévez","doi":"10.1007/s10899-025-10410-1","DOIUrl":"https://doi.org/10.1007/s10899-025-10410-1","url":null,"abstract":"<p><p>Although gambling disorder (GD) may affect romantic relationships, and these may influence its prevention and intervention, there is a gap about this issue in the literature. People with GD present greater emotional dysregulation, and lack of communication and couple satisfaction is observed in their romantic relationships. Therefore, the objectives of the present study were, first, to explore the differences between couple satisfaction, positive communication and emotional dysregulation in individuals with GD and their partners. Second, to analyse the relationships between the variables in GD patients, their partners, and betwen the couple members. Third, to study the predictive role of positive communication and emotional dysregulation in couple satisfaction. The sample comprised 30 people: 15 male individuals with gambling disorder and their respective female partners. Results showed that the partners scored lower in couple satisfaction. Likewise, positive correlations were found between communication and satisfaction, but only the partners' emotional dysregulation significantly correlated with the aforementioned variables. Finally, only positive communication predicted couple satisfaction. Consequently, it is argued that communication and emotion-regulation skills in romantic relationships could influence the development, maintenance, and rehabilitation of GD. Providing comprehensive care that enhances romantic relationships could be beneficial because both individuals can reciprocally influence each other's mental health.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John A Cunningham, David C Hodgins, Stephen Sharman, Hollie Walker, Christina Schell
{"title":"Pilot Randomised Trial of a Brief Online Personalised Feedback Intervention for the UK Context Designed To Prevent, Reduce, and Address Gambling Harm.","authors":"John A Cunningham, David C Hodgins, Stephen Sharman, Hollie Walker, Christina Schell","doi":"10.1007/s10899-025-10401-2","DOIUrl":"https://doi.org/10.1007/s10899-025-10401-2","url":null,"abstract":"<p><p>Participation in online gambling is growing and the risk of experiencing harms is also increasing. Brief personalised feedback interventions have been shown to prevent, reduce and address gambling harm and this randomised controlled trial tested the effectiveness of a version customised for the UK. A sample of 1586 online gambling participants with moderate or problem gambling were rapidly recruited from an existing Internet panel of UK residents. Participants were randomised to a no intervention control group or received the self-directed, online intervention which included normative feedback and personalised information explaining the consequences of gambling above lower-risk guidelines. One- and three-month follow-ups assessed the short-term impact on frequency and harm. Feedback and recommendations were collected to guide improvements and increase future utility. All gambling outcomes showed improvement between the initial survey and both follow-ups, however, there were no differences between the intervention and control groups. Most participants displayed normative misperceptions when estimating how much others the same age and gender gambled. The majority of the sample had never previously sought treatment despite over a third of these reporting moderate or problematic levels of gambling. There is need for a publicly available, low-cost alternative to traditional treatment in order to help the large proportion of people with gambling concerns who would not otherwise seek formal support. Although an intervention effect was not detected in this sample, Internet-based alternatives remain a promising opportunity meriting further research.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Can Zoraloğlu, Zsolt Demetrovics, Mark D Griffiths, Andrea Czakó, Zsolt Horváth, Orsolya Király
{"title":"The Mediating Effect of Gambling Motives between Psychiatric Symptoms, Dissociation, and Problem Gambling Severity.","authors":"Can Zoraloğlu, Zsolt Demetrovics, Mark D Griffiths, Andrea Czakó, Zsolt Horváth, Orsolya Király","doi":"10.1007/s10899-025-10408-9","DOIUrl":"https://doi.org/10.1007/s10899-025-10408-9","url":null,"abstract":"<p><p>Although previous research has identified psychiatric symptoms and dissociation as important factors in problem gambling, the role of gambling motives in these relationships has received scant attention. According to the literature, the theoretically \"riskier\" motives (coping and enhancement) are associated with problem gambling. The present study examined the mediating role of gambling motives between psychiatric symptoms, dissociative experiences, and problem gambling severity. A total of 688 participants (57.8% male, M<sub>age</sub> = 40.8 years, SD = 13.8) completed the Brief Symptom Inventory (BSI), Dissociative Experiences Scale-II (DES-II), Gambling Motives Questionnaire (GMQ), and Problem Gambling Severity Index (PGSI). The overall model had a good fit to the data. The results indicated that psychiatric symptoms had a significant direct effect and a significant indirect (mediating) effect on problem gambling severity via the coping motive, while dissociation only showed a significant indirect effect via the coping motive. The structural equation modeling showed that psychiatric symptoms, both directly and indirectly (via coping motives), influenced problem gambling severity, but dissociation did so indirectly only via coping motives. These results suggest that dissociation amplifies vulnerability to escape-style gambling, a concept in which an individual tries to regulate either negative mood states or psychological arousal by gambling. Awareness of dissociative tendencies and targeted interventions may help reduce gambling-related harms.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Gambling on Saving Behaviour in Australia.","authors":"Opoku Adabor","doi":"10.1007/s10899-025-10409-8","DOIUrl":"https://doi.org/10.1007/s10899-025-10409-8","url":null,"abstract":"<p><p>Although gambling can be a form of entertainment for some, it is commonly associated with social, psychological, financial, and physical harm. To reduce the adverse effects of gambling, it is important to examine the implications of gambling for policy formulation. In this study, we examine the causal impact of gambling on savings behaviour using a sample of gamblers from Australian household panel data for the period of 2015 and 2018. Our results show that gambling is associated with poor savings behaviour. This result is robust to different measures of gambling, eight different sub-groups and four gambling risk statuses. Our mediation results show that social capital and locus of control are mechanisms through which gambling influences saving behaviour.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bet More - But Only with Me: Role of Celebrity Endorsers in Sports Betting Advertising.","authors":"Wenjia Han, Vaidyanathan Viswanathan Saunak","doi":"10.1007/s10899-025-10399-7","DOIUrl":"https://doi.org/10.1007/s10899-025-10399-7","url":null,"abstract":"<p><p>Since the federal ban on sports betting was lifted in 2018, the industry has grown rapidly in the United States, raising concerns about the risk of problem gambling. Building on existing research that suggests the limited effectiveness of traditional responsible gambling campaigns, the current study examines whether the use of celebrity endorsers in advertising can enhance responsible gambling intentions. Using a scenario-based experiment with 383 U.S. sports bettors, regression analyses reveal that an endorser whose image aligns with the target audience increases consumer awareness of responsible gambling messages, thereby enhancing intentions to gamble responsibly. In addition, an image-congruent endorser boosts consumers' betting intentions and word-of-mouth advocacy for the sportsbook. Although image congruence in advertising is often operationalized through racial similarity, the findings suggest that same-race endorsers are effective in enhancing image congruence only when sports betting is perceived as socially acceptable. This study is the first to examine the effect of endorser-consumer image congruence on consumer intentions toward both sports betting brands and responsible gambling. The findings provide important insights to sportsbooks aiming to balance branding and social responsibility in marketing campaigns.</p>","PeriodicalId":48155,"journal":{"name":"Journal of Gambling Studies","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}